NPIMap

Organization Active NPI

Cornerstone ABA Services

  • Behavior Analyst
  • Conway, AR
National Provider Identifier
1588932875
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-10-6895
Legal business name
CORNERSTONE ABA SERVICES
Practice address
611 Court St Ste 1
Conway, AR 72032-5417
Phone
(501) 940-4435
NPI assigned
Dec 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shelia Smith, PHDNPI 1184909228
Title
Psychologist
Phone
(501) 730-3578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-10-6895 Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 0618P AR
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X 99-5E AR

Addresses

Primary practice location

611 Court St Ste 1
Conway, AR 72032-5417

Mailing address

611 Court St Ste 1
Conway, AR 72032-5417

National Provider Directory

National Provider Directory

Locations

611 Court St
Ste 1
Conway, AR 72032
Phone (501) 358-3382

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1588932875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 COURT ST STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 COURT ST STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325417",
            "telephone_number": "501-940-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE ABA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "501-730-3578",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-10-6895",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AR",
            "license": "0618P",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "AR",
            "license": "99-5E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.